First Name
Last Name
Company
Email
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City
Country
Primary Job Function Intern Buyer Director/Manager Executive/C-Suite
Company Industry
Company Annual Revenue Please Check the Product Group you want
Wire Harness
Power Cord
Hospital Grade Power Cord
Cable Assembly
Panel Assembly / HLA
Other Product Group
QA Requirements FA Required PPAP Required Functional Testing
Approvals Required IATF UL CSA UL508A/UL698A OTHER
Other QA/Approvals Required
Due Date for Quotation
Equivalent components considered? Yes No
Part Number
EAU Quantity
Current Source
Target Pricing
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